| NPI | 1467074112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WILHELM Director Of Clients Accounts 636-779-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2023-10-10 |